Individual
RUBY SANDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP08
Contact information
Practice address
151 SOUTHWEST DR, JONESBORO, AR 72401-5828
(870) 932-5551
(870) 932-5552
Mailing address
151 SOUTHWEST DR, JONESBORO, AR 72401-5828
(870) 932-5551
(870) 932-5552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SP1952
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X261
BLUECROSS PROVIDER #
AR
Enumeration date
06/11/2006
Last updated
07/09/2007
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